DR. CRAIG GLEN SHADINGER (NPI# 1043306277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043306277 |
| Entity Type | Individual |
| Full Name | DR. CRAIG GLEN SHADINGER |
| Credential | D.M.D. |
| Practice Address |
810 Shoney Dr Sw Suite 100 Huntsville AL 35801-5450 |
| Mailing Address |
4 Turnbridge Ln Se Huntsville AL 35802-4903 |
| Practice Telephone | 2564299027 |
| Mailing Telephone | 2564299027 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5285 | AL | Dental Providers |
| Street Address |
810 SHONEY DR SW SUITE 100 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370864 | Marvin S. Kalachman | Physician Assistant | 810 Shoney Dr Sw, Suite 120, Huntsville, AL 35801-5436 | 2005-07-19 |
| 1760099089 | Victoria Trantham | Behavior Technician | 810 Shoney Dr Sw, Huntsville, AL 35801-5436 | 2020-09-30 |
| 1417562737 | Kelby Elaine Hogan | Behavior Technician | 810 Shoney Dr Sw, Huntsville, AL 35801-5436 | 2020-09-14 |
| 1881215341 | Jennifer C Onwuka | Behavior Technician | 810 Shoney Dr Sw, Huntsville, AL 35801-5436 | 2020-05-06 |
| 1811383672 | Paul Christopher Bakke | Counselor | 810 Shoney Dr Sw, Suite 120, Huntsville, AL 35801-5436 | 2015-04-08 |
| 1073915518 | Danielle Morrison | Nurse Practitioner | 810 Shoney Dr Sw, Ste 105, Huntsville, AL 35801-5436 | 2014-09-16 |
| 1578970216 | Shelbie Gerken Donze | Nurse Practitioner | 810 Shoney Dr Sw, Suite 105, Huntsville, AL 35801-5436 | 2014-07-15 |
| 1649510967 | South Huntsville Dentistry, P.C. | Clinic/Center | 810 Shoney Dr Sw, Suite 100, Huntsville, AL 35801-5450 | 2013-02-22 |
| 1285741371 | Timothy E Sargeant | Chiropractor | 810 Shoney Dr Sw, Suite 105, Huntsville, AL 35801-5436 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376004002 | Dental Associates of Jones Valley LLC | Dentist | 2124 Cecil Ashburn Dr Se Ste 130, Huntsville, AL 35802-2575 | 2019-03-26 |
| 1760962161 | Khushboo Nitin Aggarwal | Dentist | 2342b Brandon St Sw, Huntsville, AL 35801-3801 | 2018-08-16 |
| 1861987182 | Junsup Lee | Dentist | 4240 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-5633 | 2018-06-28 |
| 1104335140 | Jake R. Noel Dmd LLC | Dentist | 4004b Balmoral Dr Sw, Huntsville, AL 35801-6402 | 2017-09-21 |
| 1952844656 | Midtown Dental LLC | Dentist | 100 Providence Main St Nw Ste C, Huntsville, AL 35806-4827 | 2016-11-29 |
| 1265824163 | Element Dental-huntsville Pllc | Dentist | 245 Interstate 45 S, Suite E, Huntsville, TX 77340 | 2015-03-02 |
| 1265831010 | John William Beason | Dentist | 815 12th St, Huntsville, TX 77348-5200 | 2014-08-18 |
| 1447670567 | Donna H Smith | Dentist | 8004 Charlotte Dr Sw, Huntsville, AL 35802-4560 | 2014-04-16 |
| 1659717957 | Huntsville Smiles | Dentist | 3011 Highway 30 W, Suite 101c, Huntsville, TX 77340-3534 | 2013-05-14 |
| 1821337163 | Alpha Family Cosmetic Center | Dentist | 2585 Sparkman Dr Nw, Huntsville, AL 35810-3868 | 2013-02-06 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.